Card Range To Study

15 Cards in this Set

CT AND MRI
INJECTION OF CONTRAST MEDIUM, OR DYE INTO SUBARACHNOID SPACE OF THE SPINE

ARTHROGRAPHY

STUDY AFTER AIR OR CONTRAST INJECTED. ASK PT IF THEY ARE ALLERGIC TO SHELLFISH OR IODINE. JOINT MAY BE SWOLLEN FOR SEVERAL DAYS AFTER THE TEST; NO STRENUOUS ACTIVITY FOR 24 HOURS AFTER THE TEST

ARTHROSCOPY

ALLOWS DIRECT VISUALIZATION OF A JOINT. BONE NEEDLE IS INSERTED AND JOINT IS DISTENDED WITH SALINE. FOR JOINT PAIN OR LIMITED ROM.

INTERVENTIONS FOR ARTHROSCOPY

1. CONSENT SIGNED SO IF THE DR. FINDS MORE WRONG HE CAN FIX IT.
2. AFTER PROCEDURE COVER WOUND WITH A COMPRESSION DRESSING TO CONTROL SWELLING.
3. MONITOR NEUROVSCULAR FUNCTION.
4.KEEP JOINT EXTENDED AND ELEVTE TO REDUCE SWELLING. 5.GIVE ANALGESICS.

BONE SCAN
INTERVENTIONS

1. NO RESTRICTED ACTIVITY FOR THE PT.
2. ENCOURAGE PT TO DRINK PLENTY OF FLUIDS AFTER THE PROCEDURE.

RHEUMATOID ARTHRITIS (RA)
PATHO

ONSET SYNOVITIS, OR INFLAMMATION OF THE SYNOVIAL TISSUE IN JOINTS. SYNOVIUM THICKENS, FLUID ACCUMALATES IN JOINT SPACE, AND A PANNUS FORMS. THE PANNUS DESTROYS CARTIALAGE AND ERODES BONE.
RESULTS: LOSS OF CARTIALAGE AND BONE.

RA CLINICAL MANISFESTATIONS
CLASSIC SYMPTOMS

JOINT PAIN
SWELLING
WARMTH
ERYTHEMA
LACK OF FUNCTION

RA EARLY JOINT INVOLVEMENT.

HANDS
WRIST
FEET

RA LATER JOINT INVOLVEMENT

HIPS
ELBOWS
ANKLES
CERVICAL SPINE

RA RAYNAUDS PHENOMENON

DISCOLORATION OF THE FINGERS AND TOES, 1 OR 2, AGGRAVATED BY COLD TEMP. AND CIGARRETTE SMOKING DUE TO VASOCONSTRICTION